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A broken health system is a silent killer. It results in more illness and death despite the fact that the public health and medical knowledge exists to greatly reduce illness and save millions of lives every year, especially in developing countries. What is missing is the leadership capacity to ensure that the management systems are in place to apply and scale up this knowledge.

This quarterly bulletin provides information on the activities of the Integrated Health Systems Strengthening Project (IHSSP). Funded by USAID and led by Management Sciences for Health, IHSPP combines evidence-based approaches, proven service delivery strategies, and extensive public health expertise to support the Rwandan Ministry of Health in building its health system. In this issue:

The themes emerging from this collection are straightforward and within our grasp. To be sure, there is an urgent need to strengthen earlier diagnosis of newborns to identify exposed and infected children and strategies for getting those children into HIV care and treatment services sooner than has been the norm.

Ugandan daily newspaper, New Vision reports: Drug dealers and pharmacies have a two-year grace period to style up and meet the required good pharmaceutical practice or face closure.  This follows announcement by the health minister that all public sector pharmacies will be subjected to inspection just like the private sector.State minister for health in charge of general duties, Dr.

Prepared by the AIDSTAR-Two project, this technical brief presents the results of an extensive literature and tools review conducted in 2009 that identified critical needs in the area of capacity building, including improved monitoring and evaluation, increased focus on basing capacity building programs on assessment, and wider dissemination of tools and approaches.

Prepared by the USAID-funded AIDSTAR-Two project, this technical brief explores the types and causes of typical implementation challenges faced by local implementing organizations, and shares some promising practices and stories from the field that demonstrate the results of effective implementation of capacity building interventions by civil society organizations.

This technical brief developed by the AIDSTAR-Two project examines a specific cadre of health workers, child and youth care workers.

To be better leaders, we must be better people, take actions that bring us closer to our communities, and use the best management tools and strategies available. The Guide for Training Community Leaders to Improve Leadership and Management Practices is designed for individuals, teams of managers, or institutions from the public health sector and other sectors of civil society that work a

This quarterly bulletin provides information on the activities of the Integrated Health Systems Strengthening Project (IHSSP).

In recent years, there has been a shift in how the international community is addressing the HIV epidemic. As more people are receiving antiretroviral therapy, we are seeing the benefits of reduced viral load on a population level. Fewer babies are being born HIV positive and prevalence rates are dropping in most countries with the highest HIV burdens.

Leadership and Management Skills Help Gotani Health Center Improve Maternal and Child Health Outcomes

Indonesia has made great strides in expanding Tuberculosis (TB) control over the last few years, with significant assistance from donors, such as the Global Fund against Acquired Immune Deficiency Syndrome (AIDS), TB and Malaria (GFATM) and the United States Agency for International Development (USAID).

The Guidelines for Cancer Management in Kenya is a systematically developed document designed to guide health care workers and allied disciplines in making decisions for man- aging cancer in a consistent and standardized manner. They encourage a uniform approach to prevention, control and treatment of cancer in different circumstances.

This third issue of the Newsletter - HCSM Recap, builds upon previous editions in bringing out the latest global best practices in commodity management, supply chain and health systems strengthening. It puts Kenya experiences into global perspective as well as bringing out issues pertaining to the unique county set up.

Background In Ethiopia, over 60% of all people who are eligible for antiretroviral therapy (ART) receive it. However, coverage is only 12% among children under 15 years of age. Due to scarcity of data and limited awareness of possible HIV infection, especially in older children, the AIDS epidemic among Ethiopian children appears neglected in national programs. Methods

The importance of skilled management and inspired leadership are increasingly evident to those who are working to improve health system performance. Many of the critical challenges facing Kenya’s health system, including scarce resources and the changes resulting from devolution, are exacerbated by weak or absent management and leadership skills.

The Rebuilding Basic Health Services (RBHS) project has been committed to promoting quality of care through a process of continuous quality assurance (QA).

The Liberian health system suffered serious setbacks during the 14-year civil war (1989-2003), when trained health workers fled the country, training institutions closed, and health facilities were demolished. Since the end of the conflict, domestic and international efforts and invest- ments have helped produce steady gains.

The rapid rise in antimicrobial resistance (AMR) has increased global momentum to establish antimicrobial stewardship programs in health facilities, clinics, and hospitals. The overuse or misuse of antimicrobial medicines is a key driver of AMR and a growing global health problem.

This issue of The Manager focuses on desiging and improving a package of HIV-related services, using a conceptual framework called the Functional Service Delivery Point. The framework can help managers to identify the characteristics that make HIV-related services functional and to deliver these services with strong community and management support.

People-centered health systems cannot be strengthened without good management and leadership. This publication shows how you, as a manager of a health program or health services, can apply proven practices for managing and leading to address the challenges you face. Leadership and management skills are needed at all levels of the health system.

This publication reviews concepts, approaches, and tools that will help change perspectives when designing and implementing policies and programs in health, specifically in relation to gender. The chapter explores the myths and realities regarding gender, and the concept of gender mainstreaming and how to move towards this goal.

In this publication, we examine aspects of financial management and related office operations systems.

This publication shows that effective human resource management (HRM) is important in any public- or private-sector organization and essential when public health crises collide with workforce shortages.

This publication is a practical guide that you, the manager of a health program or of health services, can use to understand and organize essential practices that will improve the monitoring and evaluation (M&E) of health services. It explains the role and function of an effective health information system (HIS).

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